3 fatal · BEECH 1900C · 1991-12-29 · BLOCK ISLAND, RI, USA
Event
NTSB number
NYC92FA053
Event ID
20001212X18653
Type
Accident
Date
1991-12-29
Location
BLOCK ISLAND, RI, USA
Injuries
Highest injury
FATL
Fatal
3
Serious
0
Minor
0
Uninjured
0
Total aboard
3
Aircraft
Make
BEECH
Model
1900C
Registration
N811BE
FAR Part
091
Engines
2
Damage
DEST
Conditions
Light
NDRK
Weather
VMC
Probable cause
THE INSTRUCTOR PILOT'S LOSS OF ALTITUDE AWARENESS AND POSSIBLE SPATIAL DISORIENTATION, WHICH RESULTED IN THE LOSS OF CONTROL OF THE AIRPLANE AT AN ALTITUDE TOO LOW FOR RECOVERY; AND COMPANY MANAGEMENT'S LACK OF INVOLVEMENT IN AND OVERSIGHT OF ITS BEECHCRAFT 1900 FLIGHT TRAINING PROGRAM. CONTRIBUTING TO THE ACCIDENT WAS THE INSTRUCTOR PILOT'S EXERCISE OF POOR JUDGMENT IN ESTABLISHING A FLIGHT SITUATION AND AIRPLANE CONFIGURATION CONDUCIVE TO SPATIAL DISORIENTATION THAT AFFORDED THE PILOTS LITTLE OR NO MARGIN FOR ERROR.